IOTW: Ankle Fracture

Posted on: March 4, 2019, by :

Ultrasound can also be used to identify bony injury – notice the disruption of the cortex of the distal fibula of this teenager who jumped off a wall. Normally bone appears hyperechoic (bright white) with shadowing behind. Remember that growth plates will also appear as a disruption in the cortex, but this tends to be narrow with smooth edges. You can also notice a hematoma just superficial to the cortex (homogenous echotexture as opposed to striated muscle or fat that appears heterogeneous).

“The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share them, or otherwise use them for any other purpose.”

Carrie Ng

Pediatric Emergency Medicine Attending at Children's National Health System
Carrie was born in San Francisco, but grew up between Hong Kong and Los Angeles. Although she loves the sun, she was excited to move away from home to Philadelphia for medical school, where she explored a new city, learned to appreciate all four seasons, and met her Canadian husband. She then moved to New York City and completed her Pediatrics residency at NYU and PEM fellowship at Columbia. During this time, Carrie developed a passion for bedside ultrasound and decided to join the CNMC faculty while pursuing an Emergency Ultrasound fellowship. In her spare time, Carrie loves traveling, listening to podcasts, and playing board games.

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